Dr. Eric Nicholas Backos
Sports Medicine Doctor Physical Medicine & Rehabilitation Doctor
27423 Van Dyke Ave
Warren
, Michigan 48093-2867
Dr. Eric Nicholas Backos
Sports Medicine Doctor Physical Medicine & Rehabilitation Doctor
27423 Van Dyke Ave
Warren
, Michigan 48093-2867
(248) 593-5338
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About
Features
Specialties
- Sports Medicine Doctor
- Physical Medicine & Rehabilitation Doctor
Languages spoken
- English
Location
First Address
- Dr. Eric Nicholas Backos
- 1233 Water Cliff Dr
- Bloomfield Hills, MI
- Zip : 48302-1975
- Phone : (248) 593-5338
Second Address
- Dr. Eric Nicholas Backos
- 27423 Van Dyke Ave
- Warren, MI
- Zip : 48093-2867
- Phone : (586) 755-9855
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 204C00000X | Sports Medicine Doctor | 4301048249 | MI |
| Y | 208100000X | Physical Medicine & Rehabilitation Doctor | 4301048249 | MI |
National Provider Identifier
| NPI | 1780625251 |
|---|---|
| Provider Name | Dr. Eric Nicholas Backos |
| First Address | Bloomfield Hills, MI 48302-1975 |
| Second Address | Warren, MI 48093-2867 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/06/2006 |
| Last Update Date | 15/12/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| A76995 | (02) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.